【摘要】 目的分析经皮介入治疗(PCI)慢性冠状动脉完全闭塞性(CTO)病变合并心肌梗死(MI)的预后因素。方法 82例PCI治疗CTO患者,其中32例为CTO合并MI(合并组),50例仅为CTO(不合并组)。平均随访6个月,Logistic多因素回归分析预后因素。结果合并组的糖尿病、高血脂、高血压、心源性休克及不良心血管事件发生率高于不合并组(P<0.05),而左室射血分数、术后TIMI血流3级低于不合并组(P<0.01)。糖尿病、高血脂、心源性休克及术后TIMI血流3级为独立危险因素。结论糖尿病、高血脂、心源性休克及术后TIMI血流3级是PCI治疗CTO合并MI患者的独立危险因素。更多还原

【Abstract】 Objective To analyze the prognostic factors of percutaneous coronary intervention(PCI) for chronic total occlusion(CTO) and myocardial infarction(MI). Methods Thirty-two patients with CTO and MI and 50 CTO cases were treated with PCI and followed up for an average of 6 months. The prognostic factors were performed by multifactorial logistic regression analysis. Results Compared with CTO cases, diabetes mellitus, hyperlipidemia, hypertension, cardiogenic shock,and major adverse cardiovascular events were higher(P<0.05), while left ventricular ejection fraction and postoperative TIMI grade 3 were lower(P<0.01) in patients with CTO and MI. The diabetes mellitus, hyperlipidemia, cardiogenic shock and postoperative TIMI grade 3 were independent risk factors. Conclusion The diabetes mellitus, hyperlipidemia, cardiogenic shock and postoperative TIMI grade 3 are the independent risk factors for patients with CTO and MI undergoing PCI.更多还原